Showing posts with label breastfeeding. Show all posts
Showing posts with label breastfeeding. Show all posts

Monday, August 6, 2012

Breatfeeding Log Tips

This blog will be moving to Crunchy Mom soon.  Link will be posted.  

I am detail orientated.  I usually feel the more detail the better.  So, when Natalie was a newborn, I kept detailed notes about feeding and diapering.  I wrote the time she started the feeding, how long she ate on each breast, and the contents of her diapers (often including notes about color or consistency!).  I did this for about seven or eight months carefully keeping track of the new foods we introduced when nursing became routine.

William got far less documentation.  Instead, I took a notebook and drew a line vertically down the page.  On one side, I kept track of feeding times and on the other I kept track of diapers.  After the first few weeks, I stopped recording how many minutes he fed and on which side he started feeding.  By then, I knew if he had eaten well without watching the clock and could tell which breast to start on by touch.  But the real reason that I scaled back on the information I recorded was because it was so hard to record everything when I nursed him while I watch Natalie play in the living room or out in public.  Even at night, I found I would fall asleep with him and not know what to write.

I think William's documentation was sufficient, but Natalie's is more useful when someone asks me a question about when she was nursing. 

If I were to set up a new system, I would recommend:

For the first few weeks,
  •  Keep track of everything.  Caring for a newborn is a hormonal, exhausted haze.  Its unfair to expect yourself to remember when the last poop was or how many feedings its been today.  Writing it down until some patterns start to emerge will help you also spot any potential problems with baby's growth and your milk supply.  
  • Use an easy grid.  Mine for Natalie had columns that went: time, left, right, diaper, notes.  I deliberately had left and right in that order so that it matched my boobs so I could just think about it physically.  The one from the hospital had right first and I was always writing things in wrong.   Notes would be where I would write how many ml pumped or any usual behavior. 
Then:
  • Write down the feeding times, but don't worrying about the minutes per side unless they are unusual.  
  • Keep a tally of the pee and poop.  Maybe write the times for the poop when they become less frequent.  Both of my kids had a period around 3 months where they went every other day.  
  • Keep a log for new foods, no matter what feeding method you use.  This can help you track possible food allergies or intolerance.  For example, when William was about 6 months old, we were able to determine that yogurt made William spit up more, so we held off on it for several months before reintroducing it.  
  • If you don't want to grope your boobs in public to determine which side to feed on first, I'd suggest using a ring or bracelet instead.  Move the bracelet to the side you start on as you begin feeding, then refer to the bracelet's position to know where to start the next time.  
  • Always note any medications including the dosage and time administered. 

Thursday, May 10, 2012

Tips for Starting Breastfeeding

With two people close to me having babies soon, my mind keeps returning to my early days nursing Natalie and William.  These are the things I would come back to again and again while starting my nursing relationship with both my children.
  • Just after birth, baby needs very little food. Its okay if it takes several days for your milk to come in.  It took five days for my milk to come in with Natalie, and she did not starve.  And, don't let anyone talk you into formula if you don't want it just because your milk isn't in after a couple days.  Discuss with your pediatrician if formula is medically necessary.
  • Even after your milk comes in, baby's stomach is small and breast milk is digested quickly.  Don't be discouraged if baby's feeds are short and often.   
  • Baby always works better than a pump!  Baby can empty your breast more effecicently and sometimes faster than a pump.  You can't judge how much milk baby is getting by how much you can pump.  
  • Skin to skin contact, especially with a sleepy nurser.
  • Nose to nipple - helps you line everything up correctly.
  • Move baby towards your breast, not your breast towards baby's mouth.
  • Rub your nipple on baby's chin to get baby to open wide.
  • Push baby's shoulders in towards your breast, not his head.  He may resist by pushing away even though he is hungry. 
  • Straight line of baby's ear, shoulder, and hips.
  • Fish lips on the breast, if lips are tucked in it will make your nipples sore.
  • Rub feet to help a sleepy baby wake up.
  • Breast crawl isn't just for the birth, can try it again when having trouble getting into position or latching.
  • Semi-reclined position is similar to a breast crawl, letting you relax and baby follow his instincts. 
  • Avoid baby's feet pressing against a surface (such as the back of the couch or a wall) while feeding as it triggers a different reflex. 
  • Support your back and arms.
  • Cooling pads on nipples work way better than lanolin.
  • The amount of milk you can express with a pump does not necessarily equal what your baby can drink through nursing
  • Keep track of pee and poop diapers. Its the easiest way to get peace of mind that baby is eating enough. 

Saturday, April 21, 2012

Nursing Mom's To Do List BEFORE Baby Arrives



I sometimes wonder if the reason some women have difficulty with breastfeeding is because they don't think about breastfeeding much BEFORE the baby arrives.  If you are formula feeding, you really don't need to think about it too much beforehand.  Parents just need to choose a formula and bottles, read some directions a few times, and then stock up.  
Breastfeeding is more complex.  While there isn't much to buy, there is a lot to know that can make breastfeeding easier.  But, it is hard to take in all of this information when you are tired and sore, not to mention emotional from baby blues.  Also, after baby is born, you suddenly have a lot less time to surf the web and read books from the library. Even though a lot of breastfeeding information makes the most sense once you've started to breastfeeding, moms who plan to feed this way really should do some things BEFORE baby arrives. 



  • First and foremost: Get Informed:
    • Get a good breast feeding book.  My favorite is Breastfeeding Made Simple: Seven Natural Laws for Nursing Mothers by Nancy Mohrbacher. Read the book before baby arrives, but keep it around to reference afterwards, because you will find many reasons.  I'd suggest taking it to the hospital with you. 
    • Take a class.  Your OBGYN, hospital, or birthing center will probably offer one right along with your child birth class. This is a great place to get the basic information about breastfeeding and offers you a place to ask questions. 
    • Find a LC.  That stands for lactician consultant, which is a person whose job it is to support your breastfeeding and be knowledgeable on all aspects of the subject everything from latch to bras.  I was lucky that LC at my hospital was the woman who taught my child birth and breastfeeding classes.  She then came to see all woman who wished to breastfeed during their hospital stays and offered to make an appointment with them for after discharge.  When you struggle with breastfeeding, a LC is the professional you want to see above all others, including your pediatrician. 
    • Find a support group. This may be more difficult.  Your LC can help you find one.  If you can't find one to go to in person, there are many on line communities such as the Dispelling Breastfeeding Myths group on FB. 
    • Watch some nursing videos on YouTube including breast crawl and different holds (side laying and cross cradle are a must, but also football in case of C section) and on latching.  Nothing beats seeing it in action. 
Once you are stocked on information, there are still other things you can do before baby arrives that can make your transition into nursing more smooth.  
  • Create one or two nursing spots.  These are places in your home where you will spend a lot of time the first few months.  You want somewhere you can sit comfortably with support for your back.  You also want to have a table near by for a drink, a book, a nasal aspirator, etc. I wrote a whole blog on this. 
  • Stock up sitting activities.  For me, this was books.  But other great ideas are crossword puzzles, a magazine subscription, on demand movies, or DVR saved TV series.  You will be doing a lot of sitting.  Sometimes you will stare lovingly at your child.  Sometimes you will fall asleep sitting up.  But there will be times you will want entertainment. 
  • Get some gear.  As I said, to breastfeed you really don't have to buy anything, but there are items that will make it easier.  Number one is a nursing pillow.  I  love my Boppy pillow and have two so I don't have to move it from room to room like I did for my daughter.  Breast pads are another item you want to have some of in case you have leaking from your other breast while baby eats or from both in between feedings. Lanolin and cooling pads are necessary for alleviating the pain you will have at the start or when things go awry.  Milk storage containers are a necessity if you plan to work; some women use bags and others hard plastic containers.  Whether you plan to ever offer a bottle or not, I recommend a pump, at least a small manual one.  This will help you if you need to alleviate engorgement or empty a breast due to a nursing strike, plugged duct, or a variety of other problems.  A pump can keep a small problem from turning into a big one (mastitis, if you don't know what that is you need to add it to your get informed list). 
  • Get some fun gear.  A smartphone, e-reader, or tablet computer will all be fun toys to use when you are sitting up feeding your baby at 3AM.  
  • Consider a sling.  Once you've mastered the basics of nursing, you might want to baby wear and nurse at the same time.  This will allow you to get up and get things done without sacrificing the closeness your baby craves. 
  • Make an agreement with your husband.  Before baby arrives, you should decided how he is going to help out and where he is going to sleep.  For us this time around, my husband slept with us on weekends, but not during the work week because the lack of sleep really made him feel awful.  Also, its my husband's job to sooth during the night before bed time and to take care of my older child's wakings.  Figure out what you think will work for you before hand.  (And no matter what you decide, you will look at him some night as he goes off to sleep and you are stuck awake and hate him just a little bit.  Its okay.  I think its a nursing mom's rite of passage). 
  • Inform the nurses. Include in your birth plan or otherwise inform the nurses that you plan to nurse.  Tell them you want no bottles or pacifiers to avoid nipple confusion.  Tell them you want to hold your baby immediately for a breast crawl.  Room in if possible to feed on demand.  And let the nurses know you want to meet with a LC.  Letting the nurses know this right from the beginning in a polite manner helps them provide you with the type of care you want. 

Thursday, March 15, 2012

Nursing Loves

There are many things about nursing that drive me crazy, but more often than not I enjoy breast feeding.  (I've said baby throughout to refer to both William and Natalie without pronouns). 


I still marvel at how my milk alone makes my baby double in size in about 4 months.

I feel so satisfied when baby releases with a quiet pop, sound asleep, with a content smile and a little dribble of milk from the corner of the mouth.

I love the closeness as baby hugs my breast, caresses my face, and tucks knees in around my side.

Even in the middle of a long night, I melt when baby stops, looks me in the eyes, and smiles at me.

Over time, I've come to enjoy the little tug on the nipple from latch and the tingle of let down, like the hurt of a good stretch.

I adore watching baby sleep using my breast as a pillow.

I love how baby and I are perfectly placed for a snuggle and eye to eye chat. I stare at baby's eyes and new teeth and beautiful skin and revel in the music of baby babble, adoring how most of it is directed at me. I bend over to kiss checks, nose and forehead and stroke hair and back.  I kiss baby's palms when baby reaches up to explore my face.

I feel confidence when I can calm a fussy mood, at least temporarily, and get an overtired or overstimulated baby to sleep.

As crazy as it is, I've come to like the smell of exclusively breastfed poop and dried breast milk on clothes.

I'm proud  I'm in such a minor percentage of women who feed past six months (yet also glad no one has ever called me a nut or critized me about continuing).